The nurse is concerned that a patient's privacy could be breached according to the Health Insurance Portability and Accountability Act (HIPAA) standards. Which situation would be a breach of the HIPAA standards?
1. Copies of the patient's diagnostic test results are shredded before being discarded.
2. A nurse discusses the patient's condition with a relative without the patient's permission.
3. A physician who is not a caregiver of the patient is restricted from access to the patient's chart.
4. The patient's chart is stored in the secured office of the radiology office while the patient is having a diagnostic examination done.
2
Rationale: Copies of patient records must be rendered unreadable before being discarded.
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An 85-year-old individual is seen at a clinic after a relative notices that the patient sits about 2 feet away from the television and is not interested in going out anymore. Which of these findings supports visual impairment?
a. The patient watches television. b. The patient does not go out anymore. c. The patient has not moved to a new home in 45 years. d. The patient visits with a relative occasionally.
A circulating nurse has transferred an older client to the operating room. What action by the nurse is most important for this client?
a. Allow the client to keep hearing aids in until anesthesia begins. b. Pad the table as appropriate for the surgical procedure. c. Position the client for maximum visualization of the site. d. Stay with the client, providing emotional comfort and support.
A psychiatric clinical nurse specialist uses cognitive therapy with a patient with anorexia nervosa. Which statement by the nurse supports this type of therapy?
a. "What are your feelings about not eating foods you prepare?" b. "You seem to feel much better about yourself when you eat something.". c. "It must be difficult to talk about private matters to someone you just met.". d. "Being thin doesn't seem to solve problems. You're thin now but still unhappy.".
A patient with mitral regurgitation is instructed to report to the health care provider if it becomes too difficult to perform activities of daily living. What is the nurse's rationale for providing this instruction?
1. Activity intolerance indicates acute respiratory distress. 2. The patient may have experienced a myocardial infarction. 3. These changes indicate that it is time to consider valve replacement. 4. Infective endocarditis is developing.